Organization
PRIMELIFE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELANIE LINN SPENCER PA-C (PHYSICIAN ASSISTANT)
(515) 292-4845
Entity
Organization
Contact information
Practice address
2610 NORTHRIDGE PKWY STE 103, AMES, IA 50010-4088
(515) 292-4845
(515) 303-2291
Mailing address
2610 NORTHRIDGE PKWY STE 103, AMES, IA 50010-4088
(515) 292-4845
(515) 303-2291
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001669
IA
Other
Enumeration date
12/13/2014
Last updated
11/28/2022
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